What is a requirement for a driver diagnosed with uncontrolled angina?

For a driver diagnosed with uncontrolled angina, the requirement is that certification cannot be issued. This is because uncontrolled angina poses significant risks to the safety of both the driver and others on the road. Angina is a symptom of coronary artery disease, indicating that the heart is not receiving enough oxygen, which can lead to severe cardiac events during the stress of operating a vehicle.

The FMCSA mandates strict medical guidelines to ensure that commercial drivers are able to perform their duties safely. Conditions that can lead to sudden incapacitation, such as uncontrolled angina, disqualify a driver since it can jeopardize not just their safety, but also the safety of other road users. Therefore, without proper control and management of the condition, the issuance of a medical certificate is not permissible.

While immediate specialized treatment, prolonged observation, and regular updates from a primary care doctor may be relevant actions in managing a patient's health, they do not fulfill the safety certification requirements established for commercial drivers diagnosed with this serious condition. The core concern is ensuring that drivers are medically qualified to operate a vehicle, which is not the case for someone with uncontrolled angina.